Chapter 10: Pelvis Flashcards
What are the active ranges of motion for the pelvis?
- Forward flexion: 40-60 degrees
- Extension: 20-35 degrees
- Rotation: 3-18 degrees
- Side flexion: 15-20 degrees
What is the Approximation test?
Tests for sacroiliac lesions and the sacroiliac ligament.
The patient lies on their side. place hands over the iliac crest, pressing towards the floor.
The test is positive if there is an increase of pressure or pain.
What is the Gapping test?
Tests the anterior superior iliac ligament.
The patient lies supine while the examiner applies crossed-arm pressure (push down and out) to the ASIS.
The test is positive if there is any gluteal or posterior leg pain.
What is the Sacral apex pressure test?
Tests for sacroiliac joint problems.
The patient lies prone while the examiner applies pressure to the apex of the sacrum.
The test is positive if there is any pain.
What is the Squish test?
Tests the posterior sacroiliac ligaments.
With the patient in a supine position place both hands on the ASIS and iliac crests. Push down and in at a 45 degree angle.
The test is positive if there is any pain.
What is the Gillet’s test?
Tests for abnormal movement of the sacroiliac joint.
With the patient standing place one thumb on the PSIS with the other thumb parallel on the sacrum. Ask the patient to stand on one leg while pulling the opposite knee up to their chest. Repeat on the other leg.
The test is positive if the PSIS moves superiorly or not at all.
What is the Piedallu’s sign?
Tests for sacroiliac dysfunction.
Patient sits on the edge of a table with their legs hanging over the edge. If one PSIS is lower then the other get the patient to bend forward.
The test is positive if the lower PSIS become the higher one (that is the side that is affected).
What is the Leg length test?
With the patient lying supine use a flexible measuring tape and measure from the ASIS to the medial malleolus. A difference of 1 to 1.3 cm is considered normal.
What is the Trendelenburg test?
Tests for gluteus medius weakness.
The patient balances on one leg and then the other while the examiner assesses the pelvic heights.
The test is positive if the pelvis on the non-stance leg falls.
